person
Latasha Mack
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1033385711

Latasha Mack is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). Latasha Mack practices in Stockton, CA. The NPI Number for Latasha Mack is 1033385711 and holds a License No. (California).

The current practice location address for Latasha Mack is 8026 Lorraine Ave Ste 201, Stockton, CA and can be reached out via phone at 209-644-6328 and via fax at 209-644-6308.

Location: 8026 Lorraine Ave Ste 201, Stockton, CA, 95210-4224
person
Provider Profile Details
NPI Number
1033385711
Provider Name
Latasha Mack
Credential
Provider Entity Type
Individual
Gender
Female
Address
8026 Lorraine Ave Ste 201, Stockton, CA, 95210-4224
Phone Number
209-644-6328
Fax Number
209-644-6308
Provider Enumeration Date
05/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8026 Lorraine Ave Ste 201
City
State
Zip
95210-4224
Phone Number
209-644-6328
Fax Number
209-644-6308
person
Provider Business Mailing Address Details
Address
8026 Lorraine Ave Ste 201
City
State
Zip
95210-4224
Phone Number
209-644-6328
Fax Number
209-644-6308
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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